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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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| Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
| Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) | ||
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1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) |
4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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| Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
| Class B common shares of 7D Surgical ULC | $ 0 | 11/08/2022 | C | 254,950 | (1) | (2) | Common Stock | 254,950 | $ 0 | 0 | I | Held by 2837165 Ontario Inc. | |||
| Reporting Owner Name / Address | Relationships | |||
| Director | 10% Owner | Officer | Other | |
| Standish Beau 5770 ARMADA CARLSBAD, CA 92008 |
President, Enabling Tech | |||
| /s/Beau Standish, by Paul Benny, as Attorney-in-Fact | 11/08/2022 | |
| **Signature of Reporting Person | Date |
| * | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
| ** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
| (1) | 7D Surgical ULC (the Canadian Sub) is an unlimited liability company incorporated under the laws of the Province of British Columbia and wholly owned subsidiary of SeaSpine Holdings Corporation (SeaSpine). The exchangeable shares of the Canadian Sub are exchangeable on a 1:1 basis for shares of common stock of SeaSpine, subject to customary adjustments. SeaSpine may require all outstanding exchangeable shares to be exchanged upon the occurrence of certain events and at any time following May 20, 2026. While outstanding, holders of exchangeable shares will be entitled to receive dividends economically equivalent to the dividends declared by SeaSpine with respect to SeaSpine's common stock, but will not be entitled to cast votes on matters for which holders of the SeaSpine's common stock are entitled to vote. The holder of the exchangeable shares may exchange them at any time. |
| (2) | No expiration date. |